[hocus pocus]

If you decide to write a note, just be as honest as you can. What you tell your doctor is up to you, but if you need some starting points, tell your doctor the minimum she needs to know so you can get the proper help because talking a lot about it can feel overwhelming. Maybe you can tell her how long you've been doing it, when you do it or what feelings make you want to do it, how you take care of your injuries, and any alternatives you find helpful. Don't be afraid to express your needs, either. Tell your doctor what you think will help you so she knows what she can do.